Organization
ANDERSON DENTAL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA ANDERSON DDS (PRESIDENT)
(816) 478-0909
Entity
Organization
Contact information
Practice address
823 NE LAKEWOOD BLVD, LEES SUMMIT, MO 64064-1366
(816) 478-0909
(816) 373-1181
Mailing address
823 NE LAKEWOOD BLVD, LEES SUMMIT, MO 64064-1366
(816) 478-0909
(816) 373-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24264041
BCBS SERVING NUMBER
—
Enumeration date
03/30/2007
Last updated
08/22/2020
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